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2009 MLN Matters Articles

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Transmittal # Issue Date Subject Implementation Date CR # MM Article # MM Article Release Date
R291PI 06/12/2009 Reassignment and Ambulatory Surgical Centers (ASCs) 10/05/2009 6470 MM6470 06/16/2009
R1827CP 10/09/2009 Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcemen 01/04/2010 6662 MM6662 11/27/2009
R113BP 10/30/2009 Implementation of Changes in End Stage Renal Disease (ESRD) Payment for Calendar Year (CY) 2010 01/04/2010 6679 MM6679 11/23/2009
R1852CP 11/13/2009 Claim Status Category Code and Claim Status Code Update 01/04/2010 6723 MM6723 11/17/2009
R1871CP 12/11/2009 January 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS) 01/04/2010 6751 MM6751 12/15/2009
R116BP 12/11/2009 January 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS) 01/04/2010 6751 MM6751 12/15/2009
R1870CP 12/11/2009 Hospice Reporting Requirements for the Attending Physician and the Hospice Physician Certifying the Terminal Illness 01/04/2010 6540 MM6540 12/02/2009
R1874CP 12/14/2009 Claim Status Category Code and Claim Status Code Update 01/04/2010 6723 MM6723 11/17/2009
R1859CP 11/20/2009 MIPPA Section 139 Teaching Anesthesiologists 01/04/2010 6706 MM6706 11/23/2009
R110NCD 12/18/2009 Positron Emission Tomography (PET)(FDG) for Cervical Cancer 01/04/2010 6753 MM6753 12/09/2009
R1877CP 12/18/2009 Instructions Regarding Processing Claims Rejecting for Gender/Procedure Conflict 04/05/2010 6638 MM6638 12/21/2009
SE0929 N/A 2010 Annual Participation Enrollment Program Extension N/A N/A SE0929 11/17/2009
R1882CP 12/21/2009 January 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS) 01/04/2010 6751 MM6751 12/15/2009
SE0912 N/A Expiration of Medicare Processing of Certain Indian Health Service (IHS) Part B Claims - Sunset of Section 630 of the Medicare Modernization Act (MMA) of 2003 for Payment of Indian Health Services (IHS) N/A N/A SE0912 06/24/2009
R1885CP 12/23/2009 Hospice Reporting Requirements for the Attending Physician and the Hospice Physician Certifying the Terminal Illness 01/04/2010 6540 MM6540 12/02/2009
R101BP 01/16/2009 January 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS) 01/05/2009 6320 MM6320 01/05/2009
R1664CP 01/09/2009 January 2009 Integrated Outpatient Code Editor (I/OCE) Specifications Version 10.0 01/05/2009 6315 MM6315 01/12/2009
R1663CP 01/08/2009 Correction to Prothrombin Time (PT/INR) Monitoring for Home Anticoagulation Management 02/09/2009 6313 MM6313 01/12/2009
R1669CP 01/13/2009 January 2009 Update of the Ambulatory Surgical Center (ASC) Payment System 01/05/2009 6323 MM6323 01/15/2009
R430OTN 01/16/2009 Long Term Care Hospital (LTCH) Special Project 02/17/2009 6324 MM6324 01/20/2009
R1661CP 01/02/2009 Emergency Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB) 01/05/2009 6351 MM6351 01/06/2009
R1850CP 11/13/2009 2010 Annual Update to the Therapy Code List 01/04/2010 6719 MM6719 12/07/2009
R1857CP 11/20/2009 New Waived Tests 01/04/2010 6685 MM6685 11/25/2009
R1834CP 10/23/2009 Reasonable Charge Update for 2010 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, and Certain Intraocular Lenses 01/04/2010 6691 MM6691 10/29/2009
R1863CP 11/27/2009 Hospice Reporting Requirements for the Attending Physician and the Hospice Physician Certifying the Terminal Illness 01/04/2010 6540 MM6540 12/02/2009
R1673CP 01/30/2009 Correction to the Common Working File (CWF) for Late Recertifications 07/06/2009 6332 MM6332 02/04/2009
R1684CP 02/13/2009 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2009 04/06/2009 6383 MM6383 02/20/2009
SE0902 N/A Important Information for Providers Serving Medicare Beneficiaries Enrolled in Private Fee-for-Service Plans N/A N/A SE0902 01/30/2009
R1780CP 07/24/2009 Update-Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Rate Year 2010 07/06/2009 6461 MM6461 07/29/2009
R1781CP 07/29/2009 Payment for Co-surgeons in a Method II Critical Access Hospital (CAH) 07/06/2009 6319 MM6319 02/04/2008
R613OTN 12/23/2009 Summary of Policies in the 2010 Medicare Physician Fee Schedule (MPFS) and the Telehealth Originating Site Facility Fee Payment Amount 01/04/2010 6756 MM6756 12/29/2009
R1872CP 12/11/2009 January 2010 Integrated Outpatient Code Editor (I/OCE) Specifications Version 11.0 01/04/2010 6761 MM6761 12/31/2009
R1785CP 07/31/2009 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 15.3, Effective October 1, 2009 10/05/2009 6587 MM6587 08/04/2009
R1744CP 05/22/2009 Manual Update to Include Billing Instructions for Professional Component (PC) and Technical Component (TC) in Regards to One Line Global Billing for Pathology Services 08/24/2009 6457 MM6457 06/08/2009
R1685CP 02/20/2009 April 2009 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 04/06/2009 6380 MM6380 02/24/2009
R1691CP 03/04/2009 April Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB) 04/06/2009 6397 MM6397 03/06/2009
R615OTN 12/29/2009 Summary of Policies in the 2010 Medicare Physician Fee Schedule (MPFS) and the Telehealth Originating Site Facility Fee Payment Amount 01/04/2010 6756 MM6756 12/29/2009
R439OTN 02/06/2009 Influenza Pandemic Emergency- Additional Guidance Concerning the Medicare Prescription Drug Program (Part D) and Medicare Advantage (Part C) 03/09/2009 6284 N/A N/A
R442OTN 02/13/2009 Modifier 79 03/16/2009 6334 N/A N/A
R1680CP 02/13/2009 Instructions for Downloading the Medicare ZIP Code Files for July 2009 07/06/2009 6369 N/A N/A
R441OTN 02/13/2009 Influenza Pandemic Emergency Preparedness -- Additional Guidance Concerning Medicare Fee-For-Service Payment Policies and Billing Instructions 03/16/2009 6280 N/A N/A
R117BP 12/18/2009 Coverage of Kidney Disease Patient Education Services 04/05/2010 6557 N/A N/A
R92MCM 12/18/2009 Chapter 4, Benefits and Beneficiary Protections 12/18/2009 N/A N/A N/A
R519OTN 07/20/2009 Implementation of the Health Care Claim Status Inquiry and Response (276/277) Version 005010 - Durable Medical Equipment (DME) Shared System Change N/A 6399 N/A N/A
R51SOMA 07/20/2009 Revisions to Appendix PP - Interpretive Guidelines for Long-Term Care Facilities, Tag F441 09/30/2009 N/A N/A N/A
R611OTN 12/18/2009 Implementation of a File-Based RAC Mass Adjustment Process in MCS N/A 6554 N/A N/A
R520OTN 07/24/2009 Annual Systematic Synchronization of Medicare Participating Physician or Supplier Agreement (PAR) Status Between the Multi Carrier System (MCS) Provider Enrollment, Chain and Ownership System (PECOS) 01/04/2010 6449 N/A N/A
R522OTN 07/24/2009 Migrating the CMS Medicare Data Communication Network (MDCN) to the New Multi Protocol Label Switching (MPLS) 10/05/2009 6389 N/A N/A
R521OTN 07/24/2009 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 01/04/2010 6498 N/A N/A
R24COM 02/25/2009 Implementation of New Provider Authentication Requirements for Medicare Contractor Provider Telephone and Written Inquiries. N/A 6139 N/A N/A
R451OTN 02/27/2009 Incorporation of the National Provider Identifier (NPI) into the National Supplier Clearinghouse (NSC) Enrollment System and Related Instructions 07/06/2009 6314 N/A N/A
R155FM 07/31/2009 New Reporting Requirements for the Quarterly Opt Out Report in Contractor Reporting of Operational Workload Data (CROWD) 01/04/2010 6562 N/A N/A
R20P236 07/31/2009 Update Form CMS-2552-96 and further clarifications N/A N/A N/A N/A
R108BP 07/31/2009 New Reporting Requirements for the Quarterly Opt Out Report in Contractor Reporting of Operational Workload Data (CROWD) 01/04/2010 6562 N/A N/A
R525OTN 07/31/2009 Phase 2 Base System Changes for Implementation of the Next Version of the Health Insurance Portability and Accountability Act (HIPAA)Multi Carrier System (MCS) Only N/A 6576 N/A N/A
R1758CP 06/19/2009 Correction to Fiscal Year (FY) 2009 Medicare Severity Long- Term Care Diagnosis-Related Group (MS-LTC-DRG) Weights 07/06/2009 6552 MM6552 06/22/2009
R1662CP 01/07/2009 Home Health Prospective Payment System Rate Update for Calendar Year 2009 01/05/2009 6341 MM6341 01/09/2009
R1861CP 11/27/2009 Ambulance Inflation Factor for CY 2010 01/04/2010 6631 MM6631 12/01/2009
R1864CP 12/04/2009 Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year 2010 01/04/2010 6747 MM6747 12/07/2009
R1866CP 12/04/2009 Positron Emission Tomography (PET) (FDG) for Cervical Cancer 01/04/2010 6753 MM6753 12/09/2009
R109NCD 12/04/2009 Positron Emission Tomography (PET)(FDG) for Cervical Cancer 01/04/2010 6753 MM6753 12/09/2009
R1867CP 12/04/2009 Requirements to Prevent the Misuse of Modifiers PA, PB, and PC on Incoming Claims 01/04/2010 6718 MM6718 12/07/2009
R528OTN 08/03/2009 New Workload Number for and Transition of the Part A Louisiana and Mississippi Workloads to PBSI, an Existing Title XVIII Fiscal Intermediary 09/30/2009 6590 N/A N/A
R454OTN 03/06/2009 Influenza Pandemic Emergency Preparedness Waiver of Certain Medicare Requirements 04/06/2009 6378 N/A N/A
R148FM 03/06/2009 Recovery Audit Contractors (RACs) 03/13/2009 6273 N/A N/A
R1793CP 08/07/2009 Revision to the Selection Criteria for Recovery Audit Contractor (RAC) Adjustment Crossover Claims and for Fully Reimbursable Part B Claims 01/04/2010 6567 N/A N/A
R91MCM 08/07/2009 Chapter 3, Medicare Marketing Guidelines 08/07/2009 N/A N/A N/A
R1792CP 08/07/2009 Instructions for Downloading the Medicare ZIP Code Files for January 2010 01/04/2010 6536 N/A N/A
R530OTN 08/07/2009 Update Fiscal Intermediary Standard System (FISS) to Deactivate Billing Numbers for Non-Frequent Billers 01/04/2010 6312 N/A N/A
R156FM 08/07/2009 Recovery Audit Contractors 09/08/2009 6582 N/A N/A
R1738CP 05/15/2009 Additional Data Collection on Hospice Claims 10/05/2009 6440 MM6440 04/27/2009
R1774CP 07/24/2009 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2007 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCHs) 08/07/2009 6530 MM6530 07/27/2009
R1775CP 07/24/2009 Point of Origin Codes Update to the UB-04 (CMS-1450) Manual Code List 01/04/2010 6478 MM6478 07/27/2009
R1773CP 07/24/2009 Revised Processing of Osteoporosis Drugs Under the Home Health Benefit 01/04/2010 6512 MM6512 07/27/2009
R513OTN 07/02/2009 Coding and Reporting Principles for the Physician Quality Reporting Initiative (PQRI) and the Electronic Prescribing (E-Prescribing) Incentive Programs 09/02/2009 6514 MM6514 07/15/2009
R1776CP 07/24/2009 Telehealth Services in Indian Health Service (IHS) or Tribal Providers 01/04/2010 6493 MM6493 07/29/2009
R1777CP 07/24/2009 Payment of Bilateral Procedures in a Method II Critical Access Hospital (CAH) 01/04/2010 6526 MM6526 07/30/2009
R26COM 08/07/2009 Provider Customer Service Program Updates 09/08/2009 6482 N/A N/A
R1794CP 08/14/2009 Healthcare Provider Taxonomy Codes (HPTC) Update October 2009 10/05/2009 6598 N/A N/A
R532OTN 08/14/2009 Deactivation Letter for the Multi-Carrier System (MCS) 01/04/2010 6467 N/A N/A
R533OTN 08/14/2009 Phase 2 Base System Changes for Implementation of the Next Version of the Health Insurance Portability and Accountability Act (HIPAA)Viable Medicare System (VMS) Only 01/04/2009 6602 N/A N/A
R295PI 06/26/2009 Revision to Certain Instructions Related to Provider Enrollment Deactivations and Revocations 07/27/2009 6491 MM6491 07/01/2009
R153FM 06/12/2009 Implementation of the Redesigned Provider Statistical and Reimbursement (PS&R) System 07/13/2009 6519 MM6519 06/22/2009
R61DEMO 06/19/2009 Method of Payment for Extended Stay Services under the Frontier Extended Stay Clinic Demonstration, Authorized by Section 434 of the Medicare Modernization Act. This Change Request provides additional information to CR 6057. 10/01/2009 6452 MM6452 06/26/2009
R1764CP 07/02/2009 Wrong Surgical or Other Invasive Procedure Performed on a Patient; Surgical or Other Invasive Procedure Performed on the Wrong Body Part; Surgical or Other Invasive Procedure Performed on the Wrong Patient N/A 6405 MM6405 06/25/2009
R609OTN 12/11/2009 Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 5010 - MAC Jurisdiction 12 Only 03/01/2010 6744 MM6744 12/15/2009
R1862CP 11/27/2009 Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update 01/04/2010 6742 MM6742 12/15/2009
R604OTN 11/27/2009 Payment for Implantable Tissue Markers (HCPCS Code A4648) 02/26/2010 6579 MM6579 12/21/2009
R1883CP 12/23/2009 Limitation on Home Health Prospective Payment System (HH PPS) Outlier Payments 01/25/2010 6759 MM6759 12/29/2009
R1823CP 10/02/2009 Place of Service (POS) and Date of Service (DOS) Instructions for the Interpretation (Professional Component) and Technical Component of Diagnostic Tests 01/04/2010 6375 MM6375 12/22/2009
R1886CP 12/23/2009 Emergency Update to the 2010 Medicare Physician Fee Schedule Database 01/04/2010 6796 MM6796 12/29/2009
R1696 03/06/2009 Updates to the Medicare Claims Processing Manual Publication 100-04, Chapter 15. 04/06/2009 6347 MM6347 03/12/2009
R503OTN 06/12/2009 Reporting Non-Tax Withholding Due to Federal Payment Levy Program (FPLP) N/A 6228 MM6228 08/14/2009
R1879CP 12/18/2009 Positron Emission Tomography (PET) (FDG) for Cervical Cancer 01/04/2010 6753 MM6753 12/09/2009
R1713CP 04/24/2009 Additional Data Collection on Hospice Claims 10/05/2009 6440 MM6440 04/27/2009
R1733CP 05/08/2009 Manual Clarifications for Skilled Nursing Facility (SNF) and Therapy Billing 04/27/2009 6407 MM6407 03/30/2009
R1666CP 01/09/2009 Instructions for Fiscal Intermediary Standard System (FISS), Multi-Carrier System (MCS) and Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes 01/05/2009 6148 N/A N/A
R514OTN 07/02/2009 Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 Common Edits and Enhancements Module: File preparation (for MCS ONLY) 10/05/2009 6565 N/A N/A
R512OTN 07/02/2009 Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 Common Edits and Enhancements Module - ICN Generator (for MCS ONLY) 10/05/2009 6558 N/A N/A
R612OTN 12/23/2009 Jurisdiction 10 A/B MAC Merge of the Part B Alabama, Georgia, and Tennessee CICS Production and User Acceptance Test Regions 06/05/2010 6765 N/A N/A
R1762CP 07/02/2009 Appeals Revisions 08/03/2009 6377 N/A N/A
R102NCD 07/02/2009 Wrong Surgical or Other Invasive Procedure Performed on a Patient; Surgical or Other Invasive Procedure Performed on the Wrong Body Part; Surgical or Other Invasive Procedure Performed on the Wrong Patient N/A 6405 N/A N/A
R507OTN 06/19/2009 Jurisdiction 13 A/B MAC Merge of the three Part B New York and the Part B Connecticut CICS Production and User Acceptance Test Regions. 12/12/2009 6513 N/A N/A
R321PI 12/30/2009 Verification of Legalized Status 03/29/2010 6748 N/A N/A
R1768CP 07/10/2009 Update to Pub 100-04, Chapter 24, Section 40.7 of the Claims Processing Manual 08/10/2009 6531 N/A N/A
R56SOMA 12/30/2009 Revised Appendix L, Interpretive Guidelines for Ambulatory Surgical Centers 12/30/2009 N/A N/A N/A
R1698CP 03/13/2009 April 2009 Update to the ASC Payment System; Summary of Payment Policy Changes/Manual Revisions. 04/06/2009 6424 N/A N/A
R456OTN 03/13/2009 Addition of the Jurisdiction 5 Medicare Administrative Contractor (MAC) Roll Up Number (05001) to the CWF Contractor Table for Provider Inquiry Usage (Only) 04/13/2009 6396 N/A N/A
R455OTN 03/10/2009 Health Insurance Portability and Accountability Act (HIPAA) 837 5010 Coordination of Benefits (COB) Requirements--Multi-Carrier Systems (MCS) N/A 6308 N/A N/A
R1700CP 03/13/2009 April 2009 Integrated Outpatient Code Editor (I/OCE) Specifications Version 10.1 04/06/2009 6413 MM6413 03/16/2009
R1699CP 03/13/2009 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 15.1, Effective April 1, 2009 04/06/2009 6388 MM6388 03/16/2009
R1702CP 03/13/2009 April 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS) 04/06/2009 6416 MM6416 03/16/2009
R104BP 03/13/2009 April 2009 Update to the ASC Payment System; Summary of Payment Policy Changes/Manual Revisions. 04/06/2009 6424 MM6424 03/19/2009
R1728CP 05/04/2009 Surgery for Diabetes 05/18/2009 6419 MM6419 04/23/2009
R1838CP 10/28/2009 Processing of Non-Covered International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Procedure codes on Inpatient Hospital Claims 04/05/2010 6547 MM6547 11/05/2009
R610OTN 12/18/2009 Implementation of the HIPAA Version 5010 276/277 Claim Status Second Phase N/A 6721 MM6721 12/21/2009
R1819CP 09/25/2009 Wrong Surgical or Other Invasive Procedure Performed on a Patient; Surgical or Other Invasive Procedure Performed on the Wrong Body Part; Surgical or Other Invasive Procedure Performed on the Wrong Patient N/A 6405 MM6405 09/23/2009
R1778CP 07/24/2009 Wrong Surgical or Other Invasive Procedure Performed on a Patient; Surgical or Other Invasive Procedure Performed on the Wrong Body Part; Surgical or Other Invasive Procedure Performed on the Wrong Patient N/A 6405 MM6405 06/23/2009
R527OTN 08/03/2009 Program Instructions Designating the Competitive Bidding Areas and Product Categories Included in the DMEPOS Competitive Bidding Program Round One Rebid in CY 2009 09/03/2009 6571 MM6571 08/03/2009
R518OTN 07/17/2009 Implementation of the Health Insurance Portability and Accountability Act (HIPAA)Version 005010 837 Professional (837P) Edits N/A 6475 N/A N/A
R10SS 07/17/2009 Business Partners Systems Security Manual 08/17/2009 6410 N/A N/A
R517OTN 07/17/2009 System Network Architecture (SNA) Requirements for New CMS-Net Wide Area Network (WAN) 10/05/2009 6367 N/A N/A
R516OTN 07/17/2009 Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 837 Institutional (837I) Edits N/A 6476 N/A N/A
R1771CP 07/17/2009 Interest Payment on Clean Non-PIP Claims Not Paid Timely 08/17/2009 6542 N/A N/A
R1869CP 12/11/2009 New Place of Service (POS) Code for Walk-in Retail Health Clinic 03/11/2010 6752 MM6752 12/30/2009
R64MSP 01/09/2009 New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Workers" Compensation Medicare Set-aside Arrangements (WCMSAs), to Stop Conditional Payments N/A 5371 N/A N/A
R1670CP 01/16/2009 Claim Status Category Code and Claim Status Code Update 04/06/2009 6325 MM6325 01/20/2009
R1675CP 01/30/2009 Standard System Change to Allow Claims Processing Contractors Flexibility with 9-Digit ZIP Code 07/06/2009 6293 MM6293 02/04/2009
R54SOMA 11/30/2009 Revisions to Appendix PP-Interpretive Guidelines for Long-Term Care Facilities, Tag F441 09/30/2009 N/A N/A N/A
R316PI 12/04/2009 Administrative Appeals Process for Provider Enrollmen 01/04/2010 6487 N/A N/A
R163FM 12/04/2009 Add Physician Specialty Code 27 (Geriatric Psychiatry) to CROWD Form F (Participating Physicians/Supplier Report) 04/05/2010 6613 N/A N/A
R315PI 12/04/2009 Provider Enrollment and Veterans Administration (VA) Hospitals 03/08/2010 6735 N/A N/A
R1676CP 01/30/2009 Change in the Amount in Controversy Requirement for Administrative Law Judge Hearings and Federal District Court Appeals 05/04/2009 6295 MM6295 02/04/2009
R1672CP 01/30/2009 Payment for Co-surgeons in a Method II Critical Access Hospital (CAH 07/06/2009 6319 MM6319 02/04/2009
R434OTN 01/30/2009 Correction to Home Health Prospective Payment System (HH PPS) Episode Sequence Edits 07/06/2009 6305 MM6305 02/04/2009
R23COM 02/10/2009 Implementation of New Provider Authentication Requirements for Medicare Contractor Provider Telephone and Written Inquiries N/A 6139 MM6139 08/12/2008
R25COM 03/04/2009 Implementation of New Provider Authentication Requirements for Medicare Contractor Provider Telephone and Written Inquiries N/A 6139 MM6139 08/12/2008
R614OTN 12/23/2009 Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) N/A 6566 MM6566 01/12/2010
R1767CP 07/10/2009 IOM Chapter 25 Revenue Code 076X Description Change 08/10/2009 6561 N/A N/A
R154FM 07/10/2009 Notice of New Interest Rate for Medicare Overpayments and Underpayments-Fourth Notification for FY 2009 07/17/2009 6241 N/A N/A
R296PI 07/10/2009 Provider Enrollment Verification Activities 08/10/2009 6499 N/A N/A
R50SOMA 07/10/2009 Revisions to Chapter 5, Complaint Procedures 07/10/2009 N/A N/A N/A
SE0915 N/A Take Action Now to Prepare for the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program N/A N/A SE0915 07/09/2009
R1756CP 06/12/2009 Claim Status Category Code and Claim Status Code Update 07/06/2009 6525 MM6525 07/02/2009
R1763CP 07/02/2009 ESRD: Placement of a List of Diagnostic Tests that are Considered End Stage Renal Disease (ESRD) 07/02/2009 6515 MM6515 07/09/2009
R1769CP 07/10/2009 ESRD: Placement of a List of Diagnostic Tests that are Considered End Stage Renal Disease (ESRD) 07/31/2009 6515 MM6515 07/09/2009
R1876CP 12/18/2009 Coverage of Kidney Disease Patient Education Services 04/05/2010 6557 MM6557 12/30/2009
R1880CP 12/18/2009 Pharmacogenomic Testing for Warfarin Response 04/05/2010 6715 MM6715 12/30/2009
R111NCD 12/18/2009 Pharmacogenomic Testing for Warfarin Response 04/05/2010 6715 MM6715 12/30/2009
SE1007 N/A Medicare's DMEPOS Competitive Bidding Program - A Better Way for Medicare to Pay for Medical Equipment N/A N/A SE1007 02/02/2010
R599OTN 11/20/2009 Integrated Outpatient Code Editor (IOCE) PC (interactive and batch) Re-Write 04/05/2010 6709 MM6709 11/23/2009
R1842CP 10/30/2009 Instructions for Processing Claims Containing Anti-Markup Services but with Partial Information Completed in Item 20 of the Form CMS-1500 04/05/2010 6670 MM6670 11/09/2009
R1801CP 08/28/2009 October Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB) 10/05/2009 6617 MM6617 09/01/2009
R1805CP 08/28/2009 Addition/Deletion of HCPCS Codes October 2009 Quarterly Update 10/05/2009 6594 MM6594 09/01/2009
R1809CP 08/28/2009 October 2009 Integrated Outpatient Code Editor (I/OCE) Specifications Version 10.3 10/05/2009 6618 MM6618 09/01/2009
R1803CP 08/28/2009 October 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/05/2009 6626 MM6626 09/01/2009
R1806CP 08/28/2009 October 2009 Update to the Ambulatory Surgical Center (ASC) Payment System; Summary of Payment Policy Changes 10/05/2009 6629 MM6629 09/01/2009
R1810CP 09/01/2009 October Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB) 10/05/2009 6617 MM6617 09/01/2009
R1787CP 07/31/2009 Fractional Mileage Amounts Submitted on Ambulance Claims 01/04/2010 6543 MM6543 08/04/2009
R112BP 10/23/2009 Coverage of Inpatient Rehabilitation Services 01/04/2009 6699 MM6699 10/26/2009
R1766CP 07/10/2009 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2009 10/05/2009 6548 MM6548 07/22/2009
R1729CP 05/08/2009 Section 148 of The Medicare Improvements for Patients and Providers Act (MIPPA) 07/06/2009 6395 MM6395 05/12/2009
R1782CP 07/30/2009 Section 148 of The Medicare Improvements for Patients and Providers Act (MIPPA) 07/06/2009 6395 MM6395 05/12/2009
R1765CP 07/10/2009 2009 Durable Medical Equipment Prosthetics, Orthotics, and Supply Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List 08/10/2009 6522 MM6522 07/30/2009
R1786CP 07/31/2009 Appropriate Use of Modifier 50 and Add-On Codes for Facet Joint Injections Services 08/31/2009 6518 MM6518 N/A
R526OTN 07/31/2009 Appropriate Use of Modifier 50 and Add-On Codes for Facet Joint Injections Services 08/31/2009 6518 MM6518 07/31/2009
R109BP 08/07/2009 Diabetes Self-Management Training (DSMT) Certified Diabetic Educator 09/08/2009 6510 MM6510 08/12/2009
R297PI 08/07/2009 Compliance Standards for Consignment Closets and Stock and Bill Arrangements 09/08/2009 6528 MM6528 08/11/2009
R553OTN 09/04/2009 New Workload Number for and Transition of the Part A Louisiana and Mississippi Workloads to PBSI, an Existing Title XVIII Fiscal Intermediary. 09/30/2009 6590 N/A N/A
R448OTN 02/20/2009 Request for Common Working File (CWF) to Continue Sending Common Working File Medicare Quality Assurance (CWFMQA) the Existing 4010 File Formats after the CWF July Implementation of 5010 File Formats 07/06/2009 6373 N/A N/A
R284PI 02/20/2009 Model Letter Updates 03/20/2009 6244 N/A N/A
R57GI 02/20/2009 Implementing Validated Workarounds for Shared System Claims Processing by Medicare Administrative Contractors (A/B MACs), Durable Medical Equipment Medicare Administrative Contractors (DMEMACs), Carriers, Regional Home Health Intermediaries (RHHIs) and Fiscal Intermediaries (FIs) 03/20/2009 6379 N/A N/A
R1688CP 02/20/2009 Clarification of the Medicare Redetermination Notice for Partly or Fully Unfavorable Redeterminations 03/20/2009 6302 N/A N/A
R1692CP 03/06/2009 Healthcare Provider Taxonomy Codes (HPTC) Update April 2009 04/06/2009 6382 N/A N/A
R457OTN 03/20/2009 Hemophilia Clotting Factor Indicator on Average Sales Price (ASP) Drug Pricing File 07/06/2009 6402 N/A N/A
R462OTN 03/20/2009 Emergency Change to the CWF Pacific Host's Internal Control File for the A/B Medicare Administrative Contractor Jurisdiction 3 Part B Merge 06/01/2009 6403 N/A N/A
R1704CP 03/20/2009 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process N/A 6343 N/A N/A
R460OTN 03/20/2009 J12 Production Region Merge of the District of Columbia, Maryland, New Jersey, and Pennsylvania Part A Workloads 04/06/2009 6345 N/A N/A
R40SOMA 03/20/2009 Revisions to Chapter 2, "The Certification Process," Sections Relating to Federally Qualified Health Centers, and Exhibits 177 and 179 03/20/2009 N/A N/A N/A
R464OTN 03/24/2009 Customer Information Control System (CICS) Production Region Merge of the Alaska, Washington, Idaho and Oregon Medicare Part A Workloads in Preparation for the J2 Medicare Administrative Contractor (MAC) Implementation 04/06/2009 6339 N/A N/A
R463OTN 03/24/2009 J14 Part A and Part B Medicare Administrative Contractor (A/B MAC) New Workload Numbers for the States of Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont 05/02/2009 6406 N/A N/A
R545OTN 08/28/2009 5010-D.0 Project Healthcare Claims Acknowledgement 277CA Generator (FISS and MCS ONLY) 01/04/2010 6622 N/A N/A
R299PI 08/28/2009 Updates to Model Rejection, Returned Application, Revalidation, Approval, Denial/Revocation Letters and Identity Theft Prevention Letter 09/28/2009 6527 N/A N/A
R1802CP 08/28/2009 Expansion of the Number of Services Fields in Medicare Summary Notices (MSNs) 01/04/2010 6577 N/A N/A
R548OTN 08/28/2009 HIPAA 5010 Activity - Medicare Administrative Contractor (MAC) Certification Test Package Development 09/29/2009 6600 N/A N/A
R1873CP 12/11/2009 Place of Service (POS) and Date of Service (DOS) Instructions for the Interpretation (Professional Component) and Technical Component of Diagnostic Tests N/A 6375 MM6375 12/22/2009
R1808CP 08/28/2009 Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2010 10/05/2009 6607 MM6607 09/01/2009
R300PI 09/01/2009 Compliance Standards for Consignment Closets and Stock and Bill Arrangements 03/01/2010 6528 MM6528 08/10/2009
R468OTN 03/27/2009 Limitation of Recoupment - VMS Recoupment and Claims Adjustment Process N/A 6204 N/A N/A
R465OTN 03/27/2009 New "WW" Code to Identify a New Source for Topotecan 07/06/2009 6423 N/A N/A
R149FM 03/27/2009 Instruction for Credits for Medicare Administrative Contractors on Complementary Credit Reporting 04/27/2009 6348 N/A N/A
R150FM 04/02/2009 Chapter 7 - Internal Control Requirements Update 03/09/2009 6249 N/A N/A
R1709CP 04/03/2009 Manualization of the Medicare Physician Fee Schedule (MPFS) Record Layouts for Contractors Processing Institutional Claims 07/06/2009 6443 N/A N/A
R1813CP 09/04/2009 2010 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder 01/04/2010 6620 N/A N/A
R1811CP 09/04/2009 Verification of Status for all Hospitals Qualifying for Disproportionate Share Hospital (DSH) Payments under 42 CFR Section 412.106(c)(2), also known as the "Pickle Amendment" 10/05/2009 6564 N/A N/A
R552OTN 09/04/2009 Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 Common Edits and Enhancements Module File Preparation (for FISS Only) 01/04/2010 6636 N/A N/A
R551OTN 09/04/2009 Creation of Receipt Date for Multi-Carrier System (MCS) 01/04/2010 6612 N/A N/A
R151FM 04/09/2009 Notice of New Interest Rate for Medicare Overpayments and Underpayments--3rd Notification for FY 2009 04/16/2009 6240 N/A N/A
R555OTN 09/11/2009 Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 Common Edits and Enhancements Module - ICN Generator (for MCS ONLY) N/A 6558 N/A N/A
R302PI 09/11/2009 Local Coverage Determinations (LCD) Exceptions 10/13/2009 6586 N/A N/A
R557OTN 09/14/2009 Part B Individual Practitioner Supplier Enrollment Revalidation 10/23/2009 6574 N/A N/A
R556OTN 09/14/2009 Part B Organizational Supplier Enrollment Revalidation 10/23/2009 6485 N/A N/A
R558OTN 09/14/2009 Skilled Nursing Facility (SNF) Provider Enrollment Revalidation 10/23/2009 6486 N/A N/A
SE0914 N/A Guidance on Using Internet-based Provider Enrollment, Chain and Ownership System (PECOS) N/A N/A SE0914 08/04/2009
R1836CP 10/27/2009 New Physician Specialty Code for Geriatric Psychiatry 04/05/2010 6533 MM6533 11/03/2009
R467OTN 03/27/2009 J10 Part A and Part B Medicare Administrative Contractor (A/B MAC) Part B Tennessee and Idaho CICS UAT and Production Region Split and New Workload Numbers for the States of Alabama, Georgia and Tennessee 05/04/2009 6436 N/A N/A
R443OTN 02/13/2009 Payment for Repair, Maintenance and Servicing of Oxygen Equipment as a Result of the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008 04/06/2009 6296 MM6296 02/18/2009
R1674CP 01/30/2009 Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update 04/06/2009 6336 MM6336 02/20/2009
R1687CP 02/20/2009 Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits 04/06/2009 6356 MM6356 02/24/2009
R1686CP 02/20/2009 New Non-physician Practitioner Specialty Code for Speech Language Pathologists 07/06/2009 6292 MM6292 02/24/2009
R1682CP 02/13/2009 Clarification of Date of Service (DOS) of Ambulance Services. 03/13/2009 6372 MM6372 02/17/2009
R1683CP 02/13/2009 Heartsbreath Test for Heart Transplant Rejection 04/06/2009 6366 N/A N/A
R1681CP 02/13/2009 Payments to Institutional Providers with Multiple Service Delivery Locations 07/06/2009 6300 MM6300 02/17/2009
R99NCD 02/13/2009 Heartsbreath Test for Heart Transplant Rejection 04/06/2009 6366 MM6366 02/17/2009
R447OTN 02/13/2009 Corrections to the Inpatient Prospective Payment System (IPPS) Wage Index for Fiscal Year (FY) 2009 and the Outpatient Prospective Payment System (OPPS) Wage Index for Calendar Year (CY) 2009 05/18/2009 6363 MM6363 02/17/2009
R102BP 02/13/2009 Shipboard Services Billed to the Carrier and Services Not Provided Within the United States. This CR rescinds and fully replaces CR 6217. 03/13/2009 6327 MM6327 02/17/2009
R1677CP 02/13/2009 Shipboard Services Billed to the Carrier and Services Not Provided Within the United States. This CR rescinds and fully replaces CR 6217. 03/13/2009 6327 N/A N/A
R435OTN 02/06/2009 VMS Modifications to Implement the Common Electronic Data Interchange (CEDI) System, Final Implementation 04/06/2009 6357 MM6357 02/10/2009
R1884CP 12/23/2009 Calendar Year (CY) 2010 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 01/04/2010 6657 MM6657 01/14/2010
R1881CP 12/18/2009 Expansion of Medicare Telehealth Services for CY 2010 01/04/2010 6705 MM6705 01/12/2010
R118BP 12/18/2009 Expansion of Medicare Telehealth Services for CY 2010 01/04/2010 6705 MM6705 01/15/2010
R1689CP 02/27/2009 New Waived Tests 04/06/2009 6370 MM6370 03/03/2009
R103BP 02/20/2009 Ambulance Services and Expiration of the Ambulance Fee Schedule Transition Period 03/20/2009 6318 MM6318 02/24/2009
R445OTN 02/13/2009 Claims Processing Instructions for Diagnostic Tests Subject to the Anti-Markup Pricing Limitation 07/06/2009 6371 MM6371 03/03/2009
R1690CP 02/27/2009 Reporting the National Provider Identifier (NPI) on Claims for Reference Laboratory and Purchased Diagnostic Services Performed Outside the Billing Jurisdiction. 03/27/2009 6362 MM6362 03/03/2009
R1678CP 02/13/2009 Outpatient Therapy Caps With Exceptions in CY 2009 04/06/2009 6321 MM6321 03/04/2009
SE0922 N/A Alternative Process for Individual Eligible Professionals to Access Physician Quality Reporting Initiative (PQRI) and Electronic Prescribing (E-Prescribing) Feedback Reports N/A N/A SE0922 10/14/2009
R289PI 04/15/2009 Incorporation of Physician Fee Schedule Regulatory Changes 04/01/2009 6310 MM6310 03/25/2009
R287PI 03/27/2009 Surety Bonds for Suppliers of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) 04/06/2009 6392 MM6392 04/16/2009
R1772CP 07/17/2009 FDG PET for Solid Tumors and Myeloma and Additional Manual Updates N/A 6464 N/A N/A
R1875CP 12/14/2009 Revisions to Consultation Services Payment Policy 01/04/2010 6740 MM6740 12/16/2009
R1798CP 08/14/2009 Health Service (IHS) Hospital Payment Rates for Calendar Year 2009 09/15/2009 6572 N/A N/A
R1796CP 08/14/2009 Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index, and the Hospice Pricer for FY 2010 10/05/2009 6606 MM6606 09/02/2009
R1795CP 08/14/2009 October 2009 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 10/05/2009 6585 MM6585 09/02/2009
R1790CP 08/07/2009 Clinical Laboratory Fee Schedule - Medicare Travel Allowance Fees for Collection of Specimens 10/05/2009 6524 MM6524 09/02/2009
R568OTN 10/02/2009 One-Time Mailing of Supplier Responsibilities Letter - Individual Practitioners Only 11/02/2009 6278 MM6278 10/06/2009
R1840CP 10/29/2009 Billing for Services Related to Voluntary Uses of Advanced Beneficiary Notices of Noncoverage (ABNs) 04/05/2010 6563 MM6563 11/03/2009
R157FM 08/21/2009 Add Specialty Codes to CROWD Form F (Participating Physicians Data) 01/04/2009 6580 N/A N/A
R537OTN 08/21/2009 5010-D.0 Project Receipt, Control and Balancing Initial Phase for A/B Medicare Administrative Contractor (MAC) Only N/A 6597 N/A N/A
R538OTN 08/21/2009 PC Print Update for ASC X12 835 Version 005010 01/04/2010 6601 N/A N/A
R539OTN 08/21/2009 Medicare Part B Slide Preparation Facility Supplier enrollment Revalidation 09/21/2009 6494 N/A N/A
R542OTN 08/21/2009 Skilled Nursing Facility (SNF) Provider Enrollment Revalidation 09/21/2009 6486 N/A N/A
R543OTN 08/21/2009 Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 837 Professional (837P) Edits Medicare Administrative Contractor (MAC) - Jurisdictions 10 and 14 Only 01/04/2010 6611 N/A N/A
R535OTN 08/21/2009 Part B Organizational Supplier Enrollment Revalidation 09/22/2009 6485 N/A N/A
R536OTN 08/21/2009 Part B Individual Practitioner Supplier Enrollment Revalidation 09/22/2009 6574 N/A N/A
R540OTN 08/21/2009 5010-D.0 Project Receipt, Control and Balancing Initial Phase for Durable Medical Equipment (DME) Only 01/04/2010 6591 N/A N/A
R541OTN 08/21/2009 Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 837 Institutional (837I) Edits for J10 and J14 Only 01/04/2010 6610 N/A N/A
R104NCD 07/17/2009 FDG PET for Solid Tumors and Myeloma and Additional Manual Updates 08/17/2009 6464 N/A N/A
R439PR1 04/17/2009 Sec. 905.6, Inflation Factor N/A N/A N/A N/A
R71MSP 09/18/2009 The Coordination of Benefits Contractor (COBC) Discontinues Dissemination of the Right to Recovery Letters 10/01/2009 6615 N/A N/A
R1817CP 09/18/2009 FDG PET for Solid Tumors and Myeloma 10/19/2009 6632 N/A N/A
R106NCD 09/18/2009 FDG PET for Solid Tumors and Myeloma 10/19/2009 6632 N/A N/A
R560OTN 09/18/2009 HIPAA 5010 Activity - Medicare Administrative Contractor (MAC) Certification Test Package Development 09/29/2009 6600 N/A N/A
R100NCD 04/17/2009 Surgery for Diabetes 05/18/2009 6419 MM6419 04/23/2009
R1711CP 04/17/2009 Surgery for Diabetes 05/18/2009 6419 MM6419 04/23/2009
R58GI 03/06/2009 Disclosure of Physician Ownership in Hospitals 06/08/2009 6306 MM6306 03/10/2009
R1701CP 03/13/2009 Revision of the Hospice Wage Index and the Hospice Pricer for FY 2009 04/03/2009 6418 MM6418 03/16/2009
R1695CP 03/06/2009 Providers Submitting Information Regarding Medicare Beneficiaries Entitled to Medicare Advantage (MA) for Fiscal Year (FY) 2006 for the Medicare/Supplemental Security Income (SSI) Fraction 07/06/2009 6329 MM6329 03/10/2009
R65MSP 03/20/2009 New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Workers" Compensation Medicare Set-aside Arrangements (WCMSAs), to Stop Conditional Payment 07/06/2009 5371 MM5371 01/15/2009
R1703CP 03/20/2009 New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Workers" Compensation Medicare Set-aside Arrangements (WCMSAs), to Stop Conditional Payments N/A 5371 MM5371 01/15/2009
R1665CP 01/09/2009 New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Workers" Compensation Medicare Set-aside Arrangements (WCMSAs), to Stop Conditional Payments N/A 5371 MM5371 01/15/2009
R1697CP 03/12/2009 Heartsbreath Test for Heart Transplant Rejection 04/06/2009 6366 MM6366 02/17/2009
R1784CP 07/31/2009 The Use of the CR Modifier and DR Condition Code on Disaster/Emergency-Related Claims 08/31/2009 6451 MM6451 07/31/2009
R1789CP 08/07/2009 2010 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments 01/04/2010 6581 MM6581 08/12/2009
R546OTN 08/28/2009 Ambulatory Surgical Center Payment Indicator (ASCPI) File Error; and Reiteration of CMS Policy Regarding Beneficiary Liability for V2787 and V2788 09/29/2009 6630 MM6630 09/01/2009
R531OTN 08/14/2009 Additional Instructions on Processing Claims for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Items Submitted Under the Guidelines Established in Change Request (CR) 5917 01/04/2010 6573 MM6573 09/02/2009
R1799CP 08/21/2009 New Waived Tests 10/05/2009 6570 MM6570 08/25/2009
R459OTN 03/20/2009 Program Overview: 2009 Physician Quality Reporting Initiative (PQRI) and the 2009 Electronic Prescribing (E-Prescribing) Incentive Program 06/22/2009 6394 MM6394 03/25/2009
R446OTN 02/13/2009 Clarification on Use of National Drug Codes (NDCS) in 837 I Billing 07/06/2009 6330 MM6330 02/17/2009
SE0926 N/A 2009 - 20010 Seasonal Influenza (Flu) Resources for Health Care Professionals N/A N/A SE0926 09/22/2009
R563OTN 09/25/2009 Allow Zoned Program Integrity Contractor (ZPIC) to access Durable Medical Equipment Medicare Administrative Contractor (DME MAC) by ZPIC Zone N/A 6430 N/A N/A
R52SOMA 09/25/2009 Revisions to Appendix PP Interpretive Guidelines for Long-Term Care Facilities, Tag F441 09/30/2009 N/A N/A N/A
R304PI 09/25/2009 Inter-Contractor Communication and Provider Enrollment Revocations 10/26/2009 6642 N/A N/A
R303PI 09/25/2009 Local Coverage Determinations (LCD) Exceptions 10/13/2009 6586 N/A N/A
R1820CP 09/25/2009 Maintenance and Update of the Temporary Hook Created to Hold OPPS Claims that Include Certain Drug HCPCS Codes 01/04/2010 6647 N/A N/A
R158FM 09/25/2009 Revised Bank Account Analysis Procedure and Letter-of-Credit List 10/26/2009 6644 N/A N/A
R561OTN 09/25/2009 Implementation of a File-Based RAC Mass Adjustment Process in MCS N/A 6554 N/A N/A
R1716CP 04/24/2009 List of Medicare Telehealth Services 05/26/2009 6458 N/A N/A
R1717CP 04/24/2009 Speech-Language Pathology Private Practice Payment Policy 07/06/2009 6381 N/A N/A
R475OTN 04/24/2009 Modification to Accommodate Acute Care Episode (ACE) Demonstration 10/05/2009 6408 N/A N/A
R472OTN 04/24/2009 Request for Common Working Files (CWF) to Send Common Working Files Medicare Quality Assurance (CWFMQA) the 5010 File Formats as of October 5, 2009 10/05/2009 6439 N/A N/A
R68MSP 04/24/2009 Claim Adjustment Reason Code (CARC) Update for Medicare Secondary Payer (MSP) Claims Processing 10/05/2009 6364 N/A N/A
R478OTN 04/24/2009 Internet-based Provider Enrollment, Chain and Ownership System (PECOS) Outreach to Academic Medical Institutions (AMIs) and Large Group Practices 05/26/2009 6415 N/A N/A
R473OTN 04/24/2009 Deductible Application on Clinical Trial Claims 10/05/2009 6326 N/A N/A
R474OTN 04/24/2009 Ten (10) percent Write-off from the Nine (9) CWF data bases for the Tables called: Medicare Secondary Payment and Beneficiary ESRD Dialysis Auxiliary, for the Calendar Years 2000 - 2008 10/05/2009 6412 N/A N/A
R476OTN 04/24/2009 Implementation of the Health Care Claim Status Inquiry and Response (276/277) Version 005010 - Part B Shared System Change 10/05/2009 6411 N/A N/A
R481OTN 04/24/2009 Implementation of the Health Care Claim Status Inquiry and Response (276/277) Version 005010 - Durable Medical Equipment (DME) Shared System Change 10/05/2009 6399 N/A N/A
R1818CP 09/18/2009 Revised Processing of Osteoporosis Drugs Under the Home Health Benefit 01/04/2010 6512 MM6512 07/27/2009
R111BP 09/25/2009 Comprehensive Outpatient Rehabilitation Facility (CORF) Services 10/26/2009 6005 MM6005 10/01/2009
R1723CP 05/01/2009 Ensuring Only Clinical Trial Services Receive Fee-For-Service Payment on Claims Billed for Managed Care Beneficiaries 10/05/2009 6455 MM6455 05/05/2009
R586OTN 10/30/2009 Validating the Billing of End Stage Renal Disease (ESRD) 50/50 Rule Modifier 04/05/2010 6683 MM6683 11/03/2009
R577OTN 10/16/2009 Implementation of Health Insurance Portability and Accountability Act of 1996 (HIPAA) version 5010 for Transaction 835 - Health Care Claim Payment/Advice and Updated Standard Paper Remit (SPR) N/A 6589 MM6589 09/22/2009
R1739CP 05/15/2009 July 2009 Integrated Outpatient Code Editor (I/OCE) Specifications Version 10.2 07/06/2009 6480 MM6480 05/19/2009
R1735CP 05/15/2009 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2009 07/06/2009 6481 MM6481 05/19/2009
R1737CP 05/15/2009 July 2009 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 07/06/2009 6471 MM6471 05/20/2009
SE0903 N/A Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Supplier Accreditation N/A N/A SE0903 03/16/2009
R1746CP 05/22/2009 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 15.2, Effective July 1, 2009 07/06/2009 6469 MM6469 05/26/2009
R107BP 05/22/2009 July 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS) 07/06/2009 6492 MM6492 05/26/2009
SE0931 N/A Expiration of Various Payment Provisions Under the Medicare Program 01/01/2010 N/A SE0931 12/24/2009
SE0930 N/A Sunset of Section 630 of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 for the Payment of Indian Health Services (IHS) N/A N/A SE0930 12/24/2009
R466OTN 03/27/2009 Implementation of Indirect Medical Education (IME) and Long Term Care Hospital (LTCH) Provisions from the American Recovery and Reinvestment Act (ARRA) of 2009 04/06/2009 6444 MM6444 04/03/2009
R67MSP 03/27/2009 Instructions For Utilizing 837 Professional Claim Adjustment (CAS) Segments for Medicare Secondary Payer (MSP) Part B Claims. (This CR rescinds and fully replaces CR 6211) N/A 6427 MM6427 03/30/2009
R66MSP 03/27/2009 Instructions on utilizing 837 Institutional CAS segments for Medicare Secondary Payer (MSP) Part A Claims N/A 6426 MM6426 03/30/2009
R1707CP 03/27/2009 Assignment of Initial Enrollment FQHCs, ESRD Facilities, and RHCs 04/27/2009 6207 MM6207 04/02/2009
R286PI 03/13/2009 Incorporation of Physician Fee Schedule Regulatory Changes. 04/01/2009 6310 MM6310 03/25/2009
R288PI 04/02/2009 Incorporation of Physician Fee Schedule Regulatory Changes 04/01/2009 6310 MM6310 03/25/2009
R1708CP 04/03/2009 Hospice Cap Calculations Letters and Administrative Appeals 07/06/2009 6400 MM6400 03/20/2009
SE0921 N/A Visit Requirements Clarification for CR 5931 "Manualization of Payment for Outpatient ESRD Related Services" N/A N/A SE0921 09/15/2009
R1804CP 08/28/2009 Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update 10/05/2009 6604 MM6604 09/22/2009
SE0923 N/A Reminder about Correct Billing Changes for Certain Skilled Nursing Facility (SNF) Residents N/A N/A SE0923 09/24/2009
R550OTN 09/04/2009 Implementation of Health Insurance Portability and Accountability Act of 1996 (HIPAA) version 5010 for Transaction 835 - Health Care Claim Payment/Advice and Updated Standard Paper Remit (SPR) N/A 6589 MM6589 09/22/2009
R544OTN 08/28/2009 Medicare Administrative Contractor (MAC) Transition and Outbound Health Insurance Portability and Accountability Act (HIPAA) Transactions 01/04/2010 6599 MM6599 09/22/2009
R562OTN 09/25/2009 Activation of New Coordination of Benefits Agreement (COBA) Trading Partner Dispute Error Code Within the National Crossover Process 10/26/2009 6640 MM6640 09/29/2009
R1755CP 06/12/2009 Wrong Surgical or Other Invasive Procedure Performed on a Patient; Surgical or Other Invasive Procedure Performed on the Wrong Body Part; Surgical or Other Invasive Procedure Performed on the Wrong Patient N/A 6405 MM6405 06/25/2009
R554OTN 09/04/2009 Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 Common Edits and Enhancements Module: File preparation (for MCS ONLY) N/A 6565 N/A N/A
R43SOMA 05/01/2009 Revised Chapter 2, "The Certification Process," Section 2008A. 05/01/2009 N/A N/A N/A
R159FM 10/09/2009 Add Physician Specialty Code 27 (Geriatric Psychiatry) to CROWD Form F (Participating Physicians/Supplier Report) 04/05/2010 6613 N/A N/A
R1828CP 10/09/2009 Verification of Status for all Hospitals Qualifying for Disproportionate Share Hospital (DSH) Payments under 42 CFR Section 412.106(c)(2), also known as the "Pickle Amendment" 10/05/2009 6564 N/A N/A
R1826CP 10/09/2009 Instructions for Retrieving the 2010 Pricing and HCPCS Data Files through CMS" Mainframe Telecommunications Systems 01/04/2010 6661 N/A N/A
R574OTN 10/09/2009 Various OIG Reports that have Medical Review Implications 11/09/2009 6655 N/A N/A
R1831CP 10/16/2009 Magnetic Resonance Imaging (MRI) 01/04/2010 6672 N/A N/A
R160FM 10/15/2009 Notice of New Interest Rate for Medicare Overpayments and Underpayments - 1st Notification for FY 2010 10/22/2009 6651 N/A N/A
R1830CP 10/16/2009 Annual Type of Service (TOS) Update 01/04/2010 6693 N/A N/A
R576OTN 10/16/2009 Replacement of New York State BSIs to Support the Jurisdiction 13 A/B MAC Merge of the Three Part B New York and the Part B Connecticut CICS Production and User Acceptance Test Regions 12/12/2009 6694 N/A N/A
R53SOMA 10/16/2009 Revising Chapter 2, "The Certification Process" - Ascertaining Compliance With the Office for Civil Rights (OCR) Requirements 10/16/2009 N/A N/A N/A
R578OTN 10/16/2009 5010-D.0 Project Receipt, Control and Balancing Initial Phase for Durable Medical Equipment (DME) Only N/A 6591 N/A N/A
R494OTN 05/15/2009 Update for 835 Version 5010 10/05/2009 6473 N/A N/A
R1736CP 05/15/2009 Chapter 24 Update to Restore Inadvertently Deleted Information and to Remove Outdated Information 08/17/2009 6201 N/A N/A
R69MSP 05/15/2009 Update to the Electronic Correspondence Referral System (ECRS) User Guide v10.0 and Quick Reference Card v10.0 07/06/2009 6479 N/A N/A
R496OTN 05/15/2009 Fiscal Intermediary Standard System (FISS) Analysis and Technical Consultation - to be Performed by the FISS Maintainer for the Planning and Execution of the J1 WPS Legacy Part A Pilot Split and Subsequent Workload Reporting Requirements 07/06/2009 6425 N/A N/A
R515OTN 07/10/2009 2009 Reminder for Roster Billing and Centralized Billing for Influenza and Pneumococcal Vaccinations 08/10/2009 6539 MM6539 07/23/2009
R103NCD 07/10/2009 Sleep Testing for Obstructive Sleep Apnea (OSA) 08/10/2009 6534 MM6534 07/22/2009
R1770CP 07/10/2009 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/05/2009 6520 MM6520 07/17/2009
R1816CP 09/17/2009 Fiscal Year (FY) 2010 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Inpatient Psychiatric Facility (IPF) PPS Changes 10/05/2009 6634 MM6634 09/18/2009
R1815CP 09/09/2009 Fiscal Year (FY) 2010 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Inpatient Psychiatric Facility (IPF) PPS Changes 10/05/2009 6634 MM6634 09/18/2009
R461OTN 03/20/2009 Payment for Maintenance and Servicing of Certain Oxygen Equipment as a Result of the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008 07/06/2009 6404 MM6404 03/20/2009
R1743CP 05/22/2009 Billing Routine Cost of Clinical Trials 07/10/2009 6431 MM6431 04/13/2009
R1748CP 05/29/2009 July Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB) 07/06/2009 6484 MM6484 06/02/2009
R601OTN 11/27/2009 Creation of Receipt Date for Multi-Carrier System (MCS) 01/04/2010 6612 N/A N/A
R41SOMA 04/10/2009 Revisions to Appendices P and PP 04/10/2009 N/A N/A N/A
R1821CP 09/25/2009 Billing for an Ambulance Transport with More Than One Patient Onboard 10/26/2009 6621 MM6621 09/28/2009
R1824CP 10/02/2009 Influenza Vaccine Payment Allowances - Annual Update for 2009-2010 Season 11/02/2009 6608 MM6608 10/06/2009
SE0925 09/21/2009 Important Medicare Information about DMEPOS Supplier Accreditation and the Round 1 Rebid of the DMEPOS Competitive Bidding Program N/A N/A SE0925 09/21/2009
SE0927 N/A Clarification of the Use of Modifiers When Billing "Wrong Surgery on a Patient" N/A N/A SE0927 10/08/2009
R105NCD 08/07/2009 Screening Computed Tomography Colonography (CTC) for Colorectal Cancer 09/08/2009 6578 MM6578 09/08/2009
SE0916 N/A Medicare Parts A and B Coverage and Prior Authorization N/A N/A SE0916 07/10/2009
SE0918 N/A Value of Family History under the Initial Preventive Physical Exam (IPPE) Benefit N/A N/A SE0918 09/01/2009
R1807CP 08/28/2009 Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2010 10/05/2009 6568 MM6568 09/01/2009
SE0920 N/A Billing for the Administration of the Influenza A (H1N1) Virus Vaccine N/A N/A SE0920 09/02/2009
R1797CP 08/14/2009 Claim Status Category Code and Claim Status Code Update 10/05/2009 6609 MM6609 09/01/2009
R1718CP 04/24/2009 New Patient Discharge Status Code 21 to Define Discharges or Transfers to Court/Law Enforcement 10/05/2009 6385 MM6385 04/28/2009
R1715CP 04/24/2009 New Physician Specialty Code for Hospice and Palliative Care 10/05/2009 6311 MM6311 04/28/2009
R471OTN 04/24/2009 Revision to Processing Hospice Visit Charges on Remittance Advices and Medicare Summary Notices (MSNs) 10/05/2009 6386 MM6386 04/28/2009
R477OTN 04/24/2009 Change Type of Bill (TOB) for Federally Qualified Health Centers (FQHCs) from 73x to 77x N/A 6338 MM6338 04/24/2009
R1710CP 04/10/2009 Billing Routine Cost of Clinical Trials 07/10/2009 6431 MM6431 04/13/2009
R1721CP 04/29/2009 Billing Routine Cost of Clinical Trials 07/10/2009 6431 MM6431 04/13/2009
SE0904 N/A An Introductory Overview of the HIPAA 5010 N/A N/A SE0904 04/27/2009
SE0905 N/A Training Medicare Patients on Use of Home Glucose Monitors and Related Billing Information N/A N/A SE0905 05/07/2009
R105BP 04/24/2009 List of Medicare Telehealth Services 05/26/2009 6458 MM6458 05/05/2009
R1879CP 12/18/2009 Revisions in Timeliness Requirements for Forwarding Misfiled Appeal Requests 01/04/2010 6753 MM6753 12/09/2009
R441PR1 11/06/2009 Medicare Swing-Bed-Rates, adds Table 21 N/A N/A N/A N/A
R591OTN 11/06/2009 Incorporation of the National Provider Identifier (NPI) into the National Supplier Clearinghouse (NSC) Enrollment System and Related Instructions 04/05/2010 6488 N/A N/A
R62DEMO 11/06/2009 Payments to Practices Participating in the Electronic Health Records (EHR) Demonstration 04/05/2010 6603 N/A N/A
R1844CP 11/06/2009 Additional Health Insurance Portability and Accountability Act (HIPAA) 837 5010 Transitional Changes and Further Modifications to the Coordination of Benefits Agreement (COBA) National Crossover Process 04/05/2010 6658 N/A N/A
R1846CP 11/06/2009 Implementation of Common Working File (CWF) Editing for Diabetes Self-Management Training (DSMT) and Medical Nutrition Therapy (MNT) 04/05/2010 6553 N/A N/A
R1832CP 10/16/2009 Calendar Year(CY) 2010 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures 11/09/2009 6637 N/A N/A
R500OTN 06/05/2009 VMS Modifications to Implement the Common Electronic Data Interchange (CEDI) System, Part III, NCPDP 5.1 Implementation N/A 6507 N/A N/A
R501OTN 06/05/2009 Allow Zoned Program Integrity Contractor (ZPIC) to access Durable Medical Equipment Medicare Administrative Contractor (DME MAC) by ZPIC Zone 10/05/2009 6430 N/A N/A
R47SOMA 06/05/2009 Revised Appendix A, "Interpretive Guidelines for Hospitals" 06/05/2009 N/A N/A N/A
R46SOMA 05/29/2009 Revisions to Appendix V, "Emergency Medical Treatment and Labor Act (EMTALA) Interpretive Guidelines" 05/29/2009 N/A N/A N/A
R499OTN 05/29/2009 Placing Medicare Florida Fraud Hotline Number on the Medicare Summary Notices for Zip Codes in Florida 10/05/2009 6504 N/A N/A
R498OTN 05/29/2009 Reporting Gross Payments on IRS Form-1099 10/05/2009 6466 N/A N/A
R1747CP 05/22/2009 Beneficiary-Submitted Claims 06/23/2009 6434 N/A N/A
R580OTN 10/23/2009 Allow Zoned Program Integrity Contractors (ZPICs) to Access Medicare Administrative Contractors (MACs) by ZPIC Zone N/A 6550 N/A N/A
R161FM 10/23/2009 Chapter 7, Internal Control Requirements Update 11/23/2009 6659 N/A N/A
R307PI 10/23/2009 Establishing New Practice Locations in a Different State 01/25/2010 6649 N/A N/A
R110BP 09/04/2009 Claims Submitted for Items or Services Furnished to Medicare Beneficiaries in State or Local Custody Under a Penal Authority and Examples of Application of Government Entity Exclusion 12/07/2009 6544 MM6544 09/08/2009
R1812CP 09/04/2009 Claims Submitted for Items or Services Furnished to Medicare Beneficiaries in State or Local Custody Under a Penal Authority and Examples of Application of Government Entity Exclusion 12/07/2009 6544 MM6544 09/08/2009
SE0924 N/A Announcing the Release of the Revised CMS-855 Medicare Enrollment Applications N/A N/A SE0924 09/10/2009
R549OTN 08/28/2009 Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 5010-MAC Jurisdictions 10 and 14 Only 10/05/2009 6595 MM6595 09/08/2009
R1814CP 09/04/2009 2010 Annual Update of Healthcare Common Procedure Code System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update 01/04/2010 6619 MM6619 09/08/2009
R1854CP 11/13/2009 January 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 01/04/2010 6708 MM6708 11/17/2009
R1740CP 05/22/2009 July 2009 Update to the ASC Payment System; Summary of Payment Policy Changes 07/06/2009 6496 MM6496 05/29/2009
R1760CP 06/23/2009 July 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS) 07/06/2009 6492 MM6492 05/26/2009
R590OTN 11/06/2009 Round One Rebid of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program - Phase 8A: Hospital Exception 04/05/2010 6677 MM6677 11/10/2009
R602OTN 11/27/2009 HIPAA 5010 Activity - Medicare Administrative Contractor (MAC) Certification Test Package Development 09/29/2009 6600 N/A N/A
R314PI 11/27/2009 Clarification of Deactivation Instructions 12/28/2009 6734 N/A N/A
R603OTN 11/27/2009 Remittance Advice (RA) Codes and Medicare Summary Notice (MSN) Messages Regarding Oxygen Equipment 12/28/2009 6668 N/A N/A
R601OTN 11/27/2009 Creation of Receipt Date for Multi-Carrier System (MCS) N/A 6612 N/A N/A
R605OTN 11/27/2009 Implementation of the Updated Health Insurance Portability and Accountability Act (HIPAA) 005010 837 Institutional (837I) Edits and 005010 837 Professional (837P) Edits 04/05/2010 6676 N/A N/A
SE0908 N/A Mandatory Claims Submission and its Enforcement N/A N/A SE0908 05/07/2009
R1714CP 04/24/2009 Correction to Editing of Health Insurance Prospective Payment System (HIPPS) Codes on Home Health Prospective Payment System (HH PPS) Claims 10/05/2009 6393 MM6393 04/27/2009
R1719CP 04/24/2009 Rural Health Clinic (RHC) and Federally Qualified Health Clinic (FQHC) Updates 10/05/2009 6445 MM6445 04/27/2009
R1725CP 05/01/2009 Requirements for Specialty Codes 07/06/2009 6303 MM6303 05/06/2009
R106BP 04/24/2009 Speech-Language Pathology Private Practice Payment Policy 07/06/2009 6381 MM6381 04/28/2009
SE0909 N/A Important Information Regarding the Centers for Medicare & Medicaid Services (CMS) National Claims Crossover Process N/A N/A SE0909 04/28/2009
R1706CP 03/27/2009 Manual Clarifications for Skilled Nursing Facility (SNF) and Therapy Billing 04/27/2009 6407 MM6407 03/30/2009
R107NCD 10/16/2009 Magnetic Resonance Imaging (MRI) 01/04/2010 6672 MM6672 10/20/2009
R1858CP 11/20/2009 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 16.0, Effective January 1, 2010 01/04/2010 6728 MM6728 12/01/2009
R1761CP 06/26/2009 Billing Routine Cost of Clinical Trials 09/28/2009 6431 MM6431 04/13/2009
R318PI 12/18/2009 Implementation of Home Health Agency Program Safeguard Provisions 01/01/2010 6750 MM6750 01/13/2010
R1829CP 10/16/2009 Annual Clotting Factor Furnishing Fee Update 01/04/2010 6673 MM6673 10/20/2009
R492OTN 05/08/2009 Fiscal Year (FY) 2009 Inpatient Prospective Payment System (IPPS) Claims with Medicare Severity Diagnosis Related Group (MS-DRG) 956 04/27/2009 6483 MM6483 05/12/2009
R487OTN 05/01/2009 Modification of the Common Working File (CWF) Copybook to Transmit a "WC" Qualifier to Distinguish Workers Compensation Medicare Set-Aside Arrangement (WCMSA) MSP Records 10/05/2009 6438 MM6438 05/12/2009
R488OTN 05/01/2009 Processing and Payment of Physician and Non-Physician Practitioner Services Reassigned to ASCs 10/05/2009 6358 MM6358 05/12/2009
R598OTN 11/23/2009 Instructions on How Contractors Must Process Medicare Secondary Payer Claims When Negative Claim Adjustment Reason Code (CARC) Amounts are Received in the Claim Adjustment Segment (CAS) for Certain MSP Claims that are Suspended 12/21/2009 6681 N/A N/A
R108NCD 10/16/2009 FDG PET for Solid Tumors and Myeloma 10/30/2009 6632 MM6632 10/20/2009
R1833CP 10/16/2009 FDG PET for Solid Tumors and Myeloma 10/30/2009 6632 MM6632 10/20/2009
R1865CP 12/04/2009 January 2010 Update of the Ambulatory Surgical Center (ASC) Payment System 01/04/2010 6746 MM6746 12/11/2009
R311PI 11/13/2009 Recovery Audit Contractors (RACs) 12/14/2009 6684 N/A N/A
R1855CP 11/13/2009 Instructions for Downloading the Medicare ZIP Code Files for April 2010 04/05/2010 6697 N/A N/A
R1835CP 10/27/2009 Instructions for Downloading the Medicare ZIP Code Files for January 2010 01/04/2010 6536 N/A N/A
R1837CP 10/28/2009 2010 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder 01/04/2010 6620 N/A N/A
R581OTN 10/28/2009 For Analysis Only --Clarification on the Proper Billing of the Statement Covers From and Admission/Start of Care Dates on Institutional Claims 04/05/2010 6584 N/A N/A
R582OTN 10/28/2009 Update to the Common Working File (CWF) Edits to Recognize the "RA" and "RB" Modifiers for Durable Medical Equipment (DME) Repairs and Replacements 04/05/2010 6688 N/A N/A
R1841CP 10/29/2009 National Council for Prescription Drug Programs (NCPDP) Version D.0 Coordination of Benefits (COB) Requirements for the National Claims Crossover Process 04/05/2010 6664 N/A N/A
R584OTN 10/30/2009 Reporting Requirements for the Fiscal Intermediary Shared System (FISS) Medicare Fraud Edit Module 04/05/2010 6551 N/A N/A
R585OTN 10/30/2009 The shared system maintainer shall not report services on the 1565C lines 5-7 when the Medicare allowed amount is greater than zero and the Medicare paid amount is zero 04/05/2010 6680 N/A N/A
SE0928 11/05/2009 Further Clarification of Instructions on Using 837 Institutional Claim Adjustment Segments (CAS) for Medicare Secondary Payer (MSP) Part A Claims N/A N/A SE0928 11/05/2009
R1845CP 11/06/2009 Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases 01/04/2010 6605 MM6605 11/09/2009
R1839CP 10/28/2009 Instructions regarding processing claims rejecting for gender/procedure conflict 04/05/2010 6638 MM6638 10/30/2009
R589OTN 11/02/2009 Continuation of Maintenance and Servicing Payments in CY 2010 for Certain Oxygen Equipment as a Result of the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008 01/04/2010 6716 MM6716 11/05/2009
R1847CP 11/06/2009 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2010 01/04/2010 6717 MM6717 11/09/2009
R595OTN 11/06/2009 Ensuring the Denial of Claims for Ambulance Services Rendered to Beneficiaries in Part A Skilled Nursing Facility Stays 04/05/2010 6700 MM6700 11/09/2009
SE0910 N/A Clarification for Billing Part B versus Part D for the Anti-emetic Aprepitant (Emend) N/A N/A SE0910 06/04/2009
R1734CP 05/15/2009 Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update 07/06/2009 6453 MM6453 06/02/2009
R1741CP 05/22/2009 Update-Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Rate Year 2010 07/06/2009 6461 MM6461 06/11/2009
R497OTN 05/22/2009 Payment for Maintenance and Servicing of Certain Oxygen Equipment as a Result of the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008- THIS CR RESCINDS AND FULLY REPLACES CR 6404 07/06/2009 6509 MM6509 05/28/2009
R588OTN 10/30/2009 Reflecting the Payment Ambulatory Payment Classification (APC) on the Remittance Advice (RA) 04/05/2010 6641 N/A N/A
R1749CP 06/05/2009 Revised Billing Instructions for Occurrence Span Code 74 on Skilled Nursing Facility (SNF) No Payment Claims 10/05/2009 6523 MM6523 06/08/2009
R59GI 10/30/2009 The CMS Standard File for Reason Codes for the Fiscal Intermediary Shared System (FISS) 04/05/2010 6529 N/A N/A
R1751CP 06/05/2009 New Waived Tests 07/06/2009 6459 MM6459 06/08/2009
R162FM 10/30/2009 Recovery Audit Contractors (RACs) 12/15/2009 6398 N/A N/A
R72MSP 10/29/2009 Claim Adjustment Reason Code (CARC) Update for Medicare Secondary Payer (MSP) Claims Processing 04/05/2010 6501 N/A N/A
R282PI 01/08/2009 Zone Program Integrity Contractor (ZPIC) Updates 01/26/2009 6170 N/A N/A
R145FM 01/09/2009 Recovery Audit Contractors (RACs) 03/13/2009 6273 N/A N/A
R101NCD 06/12/2009 Wrong Surgical or Other Invasive Procedure Performed on a Patient; Surgical or Other Invasive Procedure Performed on the Wrong Body Part; Surgical or Other Invasive Procedure Performed on the Wrong Patient N/A 6405 N/A N/A
R428OTN 01/09/2009 Influenza Pandemic Emergency Preparedness Additional Guidance Concerning Tentative and Final Settlements, Periodic Interim Payments (PIP) and Pass Through Payments, Medicare Secondary Payer (MSP), Accelerated Payments, Repayments and Financial Management 02/13/2009 6256 N/A N/A
R1667CP 01/09/2009 Instructions for Fiscal Intermediary Standard System (FISS), Multi-Carrier System (MCS) and Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes 10/06/2008 6147 N/A N/A
R48SOMA 06/12/2009 Revisions to Appendix PP, "Guidance to Surveyors of Long Term Care Facilities" 06/12/2009 N/A N/A N/A
R49SOMA 06/12/2009 New Critical Access Hospital (CAH) Requirements Under 42 CFR 485.610(e) Related to CAH Co-location and CAH Provider-based Locations 06/12/2009 N/A N/A N/A
R292PI 06/12/2009 Submission of Paper and Electronic CMS-855 Enrollment Applications 07/13/2009 6490 N/A N/A
R152FM 06/12/2009 Recovery Audit Contractors (RACs) 07/13/2009 6384 N/A N/A
R502OTN 06/12/2009 Jurisdiction 4 A/B MAC Merge of the Part B Oklahoma, New Mexico and Colorado CICS Production and User Acceptance Test Regions 11/21/2009 6508 N/A N/A
R146FM 01/16/2009 Notice of New Interest Rate for Medicare Overpayments and underpayments 2nd Notification for FY 2009 01/23/2009 6239 N/A N/A
R431OTN 01/16/2009 Jurisdiction 3 A/B MAC Merge of the Part B Arizona, Montana and Utah CICS Production and User Acceptance Testing Regions 04/06/2009 6279 N/A N/A
R429OTN 01/16/2009 Update to Change Request 5927--Shared Systems Active and Non-Active Edits/Reason Codes and Audit Trail Reporting 04/06/2009 6344 N/A N/A
R1757CP 06/19/2009 Claims Processing for Skilled Nursing Facility Consolidated Billing 07/20/2009 6521 N/A N/A
R1759CP 06/19/2009 July 2009 Update to the ASC Payment System; Summary of Payment Policy Changes. 07/06/2009 6496 N/A N/A
R312PI 11/20/2009 Home Health Agency (HHA) Capitalization Requirements 12/21/2009 6732 N/A N/A
R313PI 11/20/2009 Program Integrity Manual (PIM) Reorganization Chapters 1, 2, and 7 12/21/2009 6546 N/A N/A
R600OTN 11/20/2009 Elimination of National Standard Format (NSF) Code from the VMS System N/A 6689 N/A N/A
R440PR1 06/19/2009 Section 2231, Regional Medicare Swing-Bed-Rates N/A N/A N/A N/A
R508OTN 06/26/2009 Implementation of the Next Version of the Health Insurance Portability and Accountability Act (HIPAA) 835 Transaction N/A 6034 N/A N/A
R509OTN 06/26/2009 DME MAC Instructions for Therapy Caps 2009 07/27/2009 6497 N/A N/A
R596OTN 11/06/2009 Phase 2 Base System Changes for Implementation of the Next Version of the Health Insurance Portability And Accountability Act (HIPAA) - Multi Carrier System (MCS) Only N/A 6576 N/A N/A
R505OTN 06/19/2009 Medicare Part B Radiation Therapy Centers Supplier Enrollment Revalidation 07/20/2009 6517 N/A N/A
R511OTN 07/01/2009 Standard Paper Remittance (SPR) Update for Health Insurance Portability and Accountability Act (HIPAA) Version 005010 N/A 6376 N/A N/A
R606OTN 12/11/2009 5010-D.0 Project Healthcare Claims Acknowledgement 277CA Generator Implementation (FISS and MCS ONLY) 04/05/2010 6738 N/A N/A
R607OTN 12/11/2009 Allow Zoned Program Integrity Contractors (ZPICs) to Access Medicare Administrative Contractors (MACs) by ZPIC Zone N/A 6550 N/A N/A
R608OTN 12/11/2009 Version D.0 Inbound National Council for Prescription Drug Programs (NCPDP) Flat File Analysis and Design 04/05/2010 6731 N/A N/A
R1671CP 01/16/2009 Clarification of Requirements for New and Material Evidence as Good Cause for Reopening 02/16/2009 6157 N/A N/A
R1851CP 11/13/2009 Therapy Cap Values for Calendar Year (CY) 2010 01/04/2010 6660 MM6660 11/17/2009
R1860CP 11/23/2009 Therapy Cap Values for Calendar Year (CY) 2010 01/04/2010 6660 MM6660 11/17/2009
R1843CP 10/30/2009 Outpatient Mental Health Treatment Limitation 01/04/2010 6686 MM6686 11/17/2009
R60GI 10/30/2009 Outpatient Mental Health Treatment Limitation 01/04/2010 6686 MM6686 11/17/2009
R114BP 10/30/2009 Outpatient Mental Health Treatment Limitation 01/04/2010 6686 MM6686 11/17/2009
R61GI 11/13/2009 Update to Medicare Deductible, Coinsurance and Premium Rates for 2010 01/04/2010 6690 MM6690 11/17/2009
R593OTN 11/06/2009 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program Round One Rebid Implementation--Phase 8B: Oxygen Modality 04/05/2010 6692 MM6692 11/12/2009
R115BP 11/13/2009 Ambulance Services 01/04/2010 6707 MM6707 11/17/2009
R1853CP 11/13/2009 CY 2010 Fee Schedule Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 01/04/2010 6720 MM6720 11/17/2009
R436OTN 02/06/2009 Re-design of FISS Edits for Hemophilia Clotting Factors on Inpatient Claims 07/06/2009 6354 N/A N/A
R437OTN 02/06/2009 Health Insurance Portability and Accountability Act (HIPAA) 837 5010 Coordination of Benefits (COB) Requirements---Multi-Carrier System (MCS) 10/05/2009 6308 N/A N/A
R438OTN 02/06/2009 New "WW" Code to Identify a New Source for Topotecan 07/06/2009 6294 N/A N/A
R320PI 12/23/2009 Consolidated and revised sections 6.2.1 and 12 into section 2 to ensure consistency and flow of information. Minor revisions were made to sections 1.3, 6.1.4, 7.1.2 and 11.8. 01/25/2010 6645 N/A N/A
R504OTN 06/15/2009 J12 Production Region Merge of the District of Columbia, Maryland, New Jersey, and Pennsylvania Part A Workloads 04/06/2009 6345 N/A N/A
R55SOMA 12/02/2009 Revisions to Appendix PP-Interpretive Guidelines for Long-Term Care Facilities, Tag F441 09/30/2009 N/A N/A N/A
R433OTN 01/30/2009 FISS, CWF and NCH System Requirements for All Outpatient 837 I Claims Related to Rendering Physicians/Practitioners 07/06/2009 6335 N/A N/A
R1750CP 06/05/2009 October Quarterly Update to 2009 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 10/05/2009 6503 MM6503 06/08/2009
R1754CP 06/05/2009 July Quarterly Update for 2009 Durable Medical Equipment, Prosthetics, Orthotics and Suppliers (DMEPOS) Fee Schedule 07/06/2009 6511 MM6511 06/08/2009
R1752CP 06/05/2009 Addition/Deletion of HCPCS Codes - July 2009 Quarterly Update 07/06/2009 6477 MM6477 06/08/2009
R293PI 06/12/2009 Review of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) 07/13/2009 6468 N/A 06/24/2009
R147FM 02/06/2009 Chapter 7-Internal Control Requirements Update 03/09/2009 6249 N/A N/A
R1878CP 12/18/2009 Revisions in Timeliness Requirements for Forwarding Misfiled Appeal Requests 01/19/2010 6701 N/A N/A
R440OTN 02/06/2009 Facet Joints 03/09/2009 6317 N/A N/A
R70MSP 06/26/2009 Instructions on utilizing 837 Institutional CAS segments for Medicare Secondary Payer (MSP) Part A Claims N/A 6426 MM6426 03/30/2009
R480OTN 04/24/2009 Expansion of the Current Scope of Editing for Ordering/Referring Providers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplier (DMEPOS) Suppliers Claims Process by Durable Medical Equipment Medicare Administrative Contractors (DMEMACs) N/A 6421 MM6421 08/25/2009
R592OTN 11/06/2009 Round One Rebid of the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program Phase 8C of Implementation: Repairs and Replacements 04/05/2010 6678 MM6678 11/12/2009
SE0907 N/A Clarification on Provider Information Required on Medicare Claims for Routine Foot Care Services N/A N/A SE0907 04/06/2009
R572OTN 10/02/2009 Expansion of the Current Scope of Editing for Ordering/Referring Providers for claims processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs) 10/05/2009 6417 MM6417 05/05/2009
R510OTN 06/26/2009 Expansion of the Current Scope of Editing for Ordering/Referring Providers for claims processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs) 10/05/2009 6417 MM6417 05/05/2009
R470OTN 04/24/2009 Expansion of the Current Scope of Editing for Ordering/Referring Providers for Claims Processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs) 10/05/2009 6417 MM6417 05/05/2009
R524OTN 2009-07-31 Comprehensive Error Rate Testing (CERT) Program Modifications for the Implementation of the Next Version of the Health Insurance Portability and Accountability Act (HIPAA) 2010-01-04 6465